Page 109 - Read Online
P. 109
Figure 2: Each panel depicts acute post-operative patient profile of WBC (a), hemoglobin (b), platelets (c), albumin and total protein (d), bilirubin (D and T) (e),
AST, ALT, γ glutamyl transpeptidase and alkaline phosphates (f), sodium (g), and potassium (h), respectively. Hb: hemoglobin; WBC: white blood cell; Alb:
albumin; Bili: bilirubin; AST: aspartate aminotransferase; ALT: alanine aminotransferase; POD: post-operation day
Figure 3: Energy (a) and protein (b) intake of the patient during the hospital stay after the transplant. POD: post-operation day
source of infection. 5% weight loss within 6 months. QOL assessment
[11]
depicted improvement of all the eight dimensions 3
Chronic post-transplant phase months after LT [Figure 1]. The performance status
[14]
Gradual improvement in all the biochemical parameters assessment by ECOG improved from a score of 3 to
was seen after 3 months of LT [Table 3]. The patient 1 which indicated that the patient was restricted in
regularly visited the hepatologist after the surgery but physically strenuous activity but was ambulatory
never visited the dietician. The patient’s intake was and able to carry out work of a light or sedentary
1983 kcal and 78.9 g protein from the oral diet without nature. Nutrition status assessment is depicted in
[13]
any nutritional supplement. The recommended intake Table 4. Anthropometric examination through, MAMC
[7]
amounts to 2,280 kcal and 76 g of protein. Hence, showed similar results as in pre-transplant phase, which
[4]
patient met 83.9% of calorie requirements. is mild malnutrition. Triceps measurement improved
from severe malnutrition to normal range. SGA scores
[7]
The patient was not having any GI problem; he was able improved from moderate malnutrition to normal.
[8]
to perform daily routine functions. The SNAQ score Body composition analysis depicted higher levels of fat
was 16 which showed no significant risk of at least percentage and FFM after 3 months of LT. Hand grip
[10]
100 Hepatoma Research | Volume 2 | April 1, 2016
